MEDICARE: DR. JILL LESLIE TURNER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC001383	FL

General Provider Information

NPI Number	:	1821100124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL LESLIE TURNER O.D.

Provider Business Mailing Address
First Line	:	1833 NE MIAMI GARDENS DR
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5035
Country	:	US
Telephone Number	:	305-932-5602
Fax Number	:	305-932-2155

Provider Business Practice Location Address
First Line	:	1833 NE MIAMI GARDENS DR
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5035
Country	:	US
Telephone Number	:	305-932-5602
Fax Number	:	305-932-2155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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